| NPI | 1508001397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000947) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003782) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2015-01-05 |